JP5631679B2 - Visiting care support method - Google Patents

Description

  The present invention particularly relates to a visiting care support system and a visiting care support method using a mobile phone.

Conventionally, a visiting caregiver (helper) who performs home-visit care (hereinafter referred to as “caregiver” as appropriate) is scheduled to go to the office of the home-care provider (hereinafter referred to as “visiting care establishment” as appropriate). Check the visit schedule, and then visit the destination (care recipient's home) to provide care services and enter the details and comments of the visit (hereinafter referred to as “care records” as appropriate). Is created by handwriting.
By the way, the long-term care record records the number of hours of long-term care service, “daily service”, facial color, sweating, body temperature, and other daily conditions. Created with a wide variety of items such as “Case record”, “Body care” to record the presence / absence of excretion / meal assistance and position change, “Life assistance” to record the presence / absence of services such as washing, cleaning, and care for bedding. It took time to do.
In addition, caregivers need to return to the office to submit a care record after the end of the day's work, and the care record submitted to the office is handwritten. There was a problem that it took time and effort to create data for reimbursement applications, and input errors and transcription errors were likely to occur.
In order to eliminate the input error and the transcription error, there is a system in which a care record is optically read and image entry is managed and linked to a care fee (for example, see Patent Document 1).
However, the “visit care status report management system” in the same document optically reads a handwritten work diary (corresponding to a care record), converts the read result into digital information, and links it to a care fee application. However, it is expensive and unsuitable for introduction to a small-scale home care facility.
The system of having to stop at the office to confirm the above visited place and submit the care record after the end of work is an increased burden on the caregiver, so check the place to visit without visiting the office and the care record It was hoped that documents could be submitted.
Moreover, it was desired that the care record could be created without handwriting.

JP 2005-50275 A

The present invention has been made paying attention to the above-mentioned problems, and in particular, a visiting care support system and a visiting care support that realizes confirmation of a visited place and creation and transmission of a care record using a mobile phone. It is an object to provide a method.

The visiting care support method according to the present invention is accessible via the Internet from a mobile phone with a barcode reading function for voice recognition carried by a visiting care establishment and a caregiver belonging to the visiting care establishment, Provided with nursing care reward billing program for totaling visit schedule file, nursing care result file and reward billing file, and connected to the mobile phone by wireless communication with an ASP server having a voice recognition function, and outputs transmission / reception contents of the mobile phone A home care support method for supporting the work of each home care facility using a portable printer, the business location specifying step for identifying the home care facility and a caregiver based on barcode information input from the mobile phone; The visitor schedules the caregiver via the mobile phone. - and visit schedule acquisition step to obtain the visit destination information from the file, said the bar code information that has been input from the mobile phone to identify the visited caregiver and the caregiver, access to the visited caregivers of nursing record file A nursing care result file obtaining step for approving the voice, a voice recognition step for recognizing / analyzing the voice that tells the content of the nursing care service input from the mobile phone by the voice recognition function, and the voice recognition step A conversion step of converting the voice result into text data and digital data, a transmission step of sending the text data to the caregiver's mobile phone, and displaying the text data on the display unit of the mobile phone and outputting it by voice and text data display step, with respect to the care record file, before And nursing care record writing step of writing the results of the care service content input by the speech using the shared application each visit care establishments with a care fee billing programs available, the nursing record by the activation of care fee billing program Nursing care insurance results from a file are stored and stored in the remuneration claim file, and a nursing care insurance claim step for creating a care insurance claim material; and
A care insurance claim material output step of outputting the care insurance claim material by a portable printer connected by wireless communication from the mobile phone .

The present invention receives information on a place where a caregiver visits from a server using a mobile phone, and after the care service is performed at the place of visit, at least the content of the care service is input by voice from the mobile phone to the server. The content of the nursing care service that has already been performed is output from the mobile printer, so the caregiver can check the visit schedule on the mobile phone and does not need to stop by the office to confirm the schedule. In addition, since the contents of nursing care services that have already been performed can be input by voice from a mobile phone, entry errors due to handwriting of documents such as nursing care records are reduced, and further, a mobile printer is implemented via a mobile phone. The care service contents that have already been output are output, so there is no hassle of creating a care record and other documents by hand. And, there is an effect that erroneous entry is reduced.

It is a schematic diagram which shows the outline | summary of the visiting care support system of this invention. It is a schematic explanatory drawing which shows the outline | summary of the mobile telephone used by the system. FIG. 4 is a schematic diagram illustrating a transmission / reception state between the mobile phone and the server. It is a flowchart which shows the procedure using the system.

Hereinafter, an embodiment of the present invention will be described with reference to FIGS.
FIG. 1 is a schematic diagram showing an outline of a visiting care support system according to the present invention. Mainly, a mobile phone 2 and a mobile printer 3 carried by a caregiver 1 and necessary information are received from the mobile phone 2. The server 4 that performs predetermined processing and transmits (replies) the result to the mobile terminal 2 and the Internet 5 that connects the mobile phone 2 and the server 4.
In addition, 6 is a caregiver's home, 7 is an office of a visiting care provider equipped with a personal computer 7a (hereinafter referred to as “visiting care establishment” as appropriate), and 8 is a care recipient who is a visiting destination. Home 9 is an office of an ASP ( Application Service Provider ).
The server 4 is installed in the ASP office 9 and is a shared application (for example, “care fee claim” for user information related to visit care, visit result management, care fee claim processing, report creation, etc. "ASP server" in which a "care fee request program" for executing "process" is constructed, and at least various files 10 such as a visit schedule file 10a, a care result file 10b, and a reward request file 10c In addition, the contracted home care facility 7 can access the server 4 via the Internet 5. Further, the personal computer 7 a and the mobile phone 2 use the “ASP service” via the Internet 5.
Then, the caregiver 1 obtains visit destination information, which will be described later, or inputs the contents of the care service via the mobile phone 2 and the Internet 5. In addition, the portable printer 3 carried by (carried by) the caregiver 1 can output a form such as a care record with the mobile phone 2 via wireless communication means such as Bluetooth (registered trademark). It has become.

FIG. 2 is a schematic explanatory view showing an outline of the mobile phone 2 carried by the caregiver 1 and has a barcode reading function capable of reading the barcode B (see FIG. 1), and also displays an item name display. Part 2a (in the example shown, “body temperature measurement”), a measurement result display part 2b (in the example shown, “37.5 ° C.”), a special note display part 2c (in the example shown, “There is fever. Continue. The input key portion 2d (in the illustrated example, “Please speak while touching this button”) is formed. Instead of the mobile phone 2, for example, a smartphone or a personal digital assistant (PDA) can be employed.
In the example shown in the figure, the input key portion 2d displays a message “Please speak while touching this button”, but it is a “variable area”, and “next” or “end” is input depending on the situation. Keys are displayed.

Next, transmission / reception between the mobile phone 2 and the ASP server 4 will be described with reference to FIG.
When the caregiver 1 inputs the contents of care service, which will be described later, by voice through the microphone 2e of the mobile phone 2 [(I) in the figure] and reads the barcode B [(II)], the Internet 5 The voice is transmitted to the ASP server 4 via [3, (III)]. The ASP server 4 has a “voice recognition function” (not shown) for recognizing and analyzing voices. The ASP server 4 recognizes input voice information using a voice recognition function (not shown), and converts the recognition result into text data. To send (reply) to the mobile phone 2 [Same, (IV)]. The care service content is stored in the server 4 by repeating transmission and reception between the mobile phone 2 and the ASP server 4.

Next, a procedure using the home care support system according to the present invention will be described mainly based on the flowchart of FIG.
In step S01, the visiting care establishment 7 and the caregiver 1 are specified. That is, when the caregiver 1 reads the barcode B indicating the employee number printed on the employee ID (not shown) with the mobile phone 2, the caregiver 1 of the visiting care establishment 7 is identified (establishment place) Specific step).
In step S02, visit destination information is obtained. That is, the ASP server 4 searches the visit schedule information 10a from the visit schedule file 10a according to the request from the specified caregiver 1, converts it into text data, and transmits (replies) it to the mobile phone 2 (visit) Schedule acquisition step). The caregiver 1 heads for a visit (care recipient home) 8 according to the schedule obtained by the mobile phone 1.
In step S03, a caregiver and a care recipient number are input. That is, after the care service at the visited place 8 ends, prior to inputting the care service contents, the barcode reading function of the mobile phone 2 is used to distribute the barcode on the employee ID card and the visited place 8 in advance. When the bar code B indicating the caregiver number printed on the membership card is read, the access to the care-care result file 10b of the corresponding care-requiring person in the corresponding visiting establishment 7 is approved via the Internet 5.
In step S04, the content of the care service is input. That is, when the caregiver 1 inputs a voice saying “Taisokusoku” to the microphone 2e of the mobile phone 2, the text data “body temperature measurement” of the item that prompts the user to input the content of the care service is displayed as shown in FIG. While being displayed on the item name display portion 2a, "Tion" is uttered by voice. The caregiver 1 inputs “Sanna, Ten, Godo” by voice from the voice input unit 2e (see FIG. 3) while pressing the input key unit 2d. The body temperature content input by voice through the mobile phone 2 is recognized and analyzed by a voice recognition function (not shown) of the ASP server 4 and converted into text data (voice recognition step, conversion step), and the conversion result is displayed on the display unit 2b. Is transmitted and displayed (in the example of FIG. 2, “37.5 ° C.”) (transmission step), converted into digital data and stored in the nursing care result file 10b (care result writing step). If the user continues to input “Tokijiko” as a voice, a voice prompting the user to input “special item” is issued (or a message prompting the user to input it). If there is a special item, the voice is input. In the example shown in the figure, when a voice is input such as “There is a monster. How is it?”, The voice is transmitted to the ASP server 4 via the Internet 5 and recognized by the voice identification function (not shown) of the ASP server 4. Analyzed and converted into text data including kanji and displayed on the special note display unit 2c. If there is no special remark, “None” is input as a voice (or a key such as “Next” is input from the input key portion 2d). Further, items such as “special items” converted into digital data by a voice identification function (not shown) are stored in the nursing care result file 10b.
In step S05, it is determined whether or not the input has been completed. That is, when “end” is input from the input key portion 2d, the voice input is ended and the process proceeds to the next step (S06). If “end” has not been input, the process returns to step S04 to input the next item of the care service content (for example, an item such as “Taiheikan”) by voice.
In step S06, a care record is created. That is, when an input prompting the issuance of a care record (not shown) is made by the input key part 2d (or voice) of the mobile phone 2, the care service content input earlier than the care result file 10b via the Internet 5 is obtained. While calling and transmitting to the mobile phone 2, a care record (not shown) is output from the mobile printer 3 via the mobile phone 2 and the wireless communication means. The caregiver 1 hands over the outputted care record as a copy of the visited place 8.
In step S07, server processing by the visiting care establishment 7 is performed. That is, the visiting care establishment 7 accesses the ASP server 4 via the Internet 5 at a desired timing and performs the following processing.
(1) Maintenance processing such as registration and renewal of new members (care recipients).
(2) Processing such as visit schedule registration / update.
(3) Nursing care reward application processing. That is, a care fee application for each care recipient is made at the time of the care fee claim, and a care fee claim program (not shown) of a shared application for executing the care fee claim process is started and stored in the care result file 10b. The totaled nursing care results are totaled for each care recipient, and the totaled result is stored in the remuneration request file 10c and read out from the remuneration request file 10c into a predetermined long-term care insurance remuneration bill (not shown). The data is edited and output to a printer (not shown) via the personal computer 7a of the visiting care facility 7.

  As described above, using the barcode reading function provided in the mobile phone 2, the barcode B of the caregiver 1 printed on the employee ID card is read to identify the visiting care establishment 7 to which the caregiver 1 belongs, Moreover, since the visit schedule is transmitted from the ASP server 4 to the mobile phone 2 in response to a request from the corresponding caregiver 1, there is no possibility that information of another caregiver 1 is transmitted, and the caregiver 1 In accordance with the schedule obtained from the telephone 1, the caregiver's home 1 goes directly to the visitor's home (care recipient's home) 8 and the time required to check the schedule by visiting the home care facility 7 can be saved. Can be achieved.

  In addition, since the results of the nursing care service contents are input by voice from the mobile phone 2, it is possible to prevent mistakes due to handwriting of the “nursing care record”, and a personal computer can be carried to the visited place 8, or , Free from the hassle of operating the keyboard of the personal computer and input errors when creating other documents such as a "storage ledger" based on the handwritten "care record" Therefore, the work efficiency is good.

  In addition, if a shared application provided by an ASP (Application Service Provider) is used as the server 4, it is not necessary to perform maintenance or replacement of the program at the side of the visiting care establishment 7 every time a law is revised. It is something that is released from.

  Moreover, since the “care fee bill” and the like can be calculated from the nursing care result file input and created by voice, billing errors are reduced.

  It should be noted that the configuration and operation of the above-described embodiment are examples, and it goes without saying that they can be changed as appropriate without departing from the spirit of the present invention.

For example, in order to identify the caregiver 1 and the care recipient, the example is described in which the barcode B of the employee ID card and membership card is read. However, the present invention is not limited to this example. A bar code indicating the caregiver may be printed and attached to the wrist of the care recipient. If a “wristband” is used in place of a membership card that is often created with a “card” or the like, the risk that the membership card will be lost somewhere is lost.

B Barcode 1 Caregiver 2 Mobile phone 2a Item display section 2b Measurement result display section 2c Special note display section 2d Input key section 3 Mobile printer 4 Server (ASP server)
5 Internet 6 Caregiver's house 7 Visiting care provider's office (visiting care establishment)
7a PC 8 Visit (home for care recipient)
9 ASP (Application Service Provider) office 10 Various files 10a Visit schedule file 10b Nursing care result file 10c Reward request file

Claims (1)

It can be accessed via the Internet from a mobile phone with a barcode reading function that supports voice recognition, which is carried by the home-care facility and the caregivers belonging to this home-care facility. Each visiting care establishment using an ASP server having a nursing care reward billing program for counting billing files and a mobile printer connected to the mobile phone by wireless communication and outputting the contents of transmission / reception of the mobile phone A visiting care support method for supporting the work of
An establishment specifying step for identifying the visiting care establishment and a caregiver from the barcode information input from the mobile phone;
A visit schedule obtaining step in which the caregiver obtains visit destination information from the visit schedule file via the mobile phone;
Identifying a caregiver and a care recipient by barcode information input from the mobile phone, and obtaining a care record file obtaining step for approving access to the care record file of the care recipient;
A voice recognition step of recognizing / analyzing a voice telling the content of a care service input from the mobile phone by the voice recognition function;
A conversion step of converting the voice result recognized and analyzed in the voice recognition step into text data and digital data;
Sending the text data to the caregiver's mobile phone;
Displaying the text data on the display unit of the mobile phone, and outputting the text data by voice;
For the nursing care result file, a nursing care result writing step for writing the result of the nursing care service content input by the voice using the nursing care reward billing program that can be used by each visiting care establishment;
Nursing care insurance claim step of totaling care insurance results from the nursing care results file by starting the nursing care compensation claim program, storing the results in the compensation claim file, and creating a care insurance claim material;
The care insurance claim material output step for outputting the care insurance claim material by a portable printer connected by wireless communication from the mobile phone;
A visiting care support method characterized by comprising:

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